(April) 2011 - Irish Genealogical Website International

___________________________________________________________________ Membership Form
❑ New
❑ Renewal
Irish Genealogical Society International
Irish Genealogical Society International
Membership
Indicate Membership Category
❑ General ($30) ❑ International ($40) ❑ Electronic ($25)
Name
Mem #
IGSI Member who Suggested Membership
For Gift Memberships go to www.IrishGenealogical.org or write to IGSI at address below.
Address City
State/Province Postal Code Country
Email Phone
SURNAMES
Irish and Scot-Irish surnames only. PLEASE PRINT
One surname spelling and one Irish County per line please.
Surnames are searchable on the IGSI website www.IrishGenealogical.org Non-internet users may contact us.
Surname Ireland County (locale if known) Other Country (locale) - [needn’t write USA]
Example Stack Kerry (Ballylongford) Can-QC; OH, MN (Rice Co), AZ
PAYMENT
1 Year General Membership ($30 US) $
1 Year International Membership ($40 US) $
1 Year Electronic Membership ($25 US) $
Donation - US tax deductible (Thank You) $
❑ Check (Payable to IGSI) Preferred
❑ Credit Card ❑ MC ❑ Visa
Place additional surnames on blank sheet of paper.
TOTAL $
Credit Card Number Exp. Date
Signature
Mail to
IGSI Membership
1185 Concord St N., Suite 218
South St. Paul, MN 55075
http://www.IrishGenealogical.org
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